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drrE�rrArcen ^ONSTRUCTION � <br /> Giv OF <br /> everett PERMIT PERMIT NO. 09789 <br /> CRY HqLL 259�8745 <br /> eveaerr, wn eezoi ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OIYNER MAILADDflE55 CIiV ZIT PMONE <br /> James Tierney 1117 Wetmore Everett 98201 <br /> ARCIui[Ci OR GESIGNLR MRII AOOR[55 CIiY ZIP PMONE <br /> GENERAL COIIIPACTOR MAIL AODRE55 CITY 21P PNONE LICENSE� <br /> MECNANiGqI CpNLqqCtOP 1GqR ADDRE55 CILY ZIP PHONE LiCENSE I <br /> Natural Gas Equipment 1611 East Grand Everett 98201 258-2441 <br /> PLUMBING LONiRNCTOR MAIL ADpRE55 CITY 21C PHONE �ICENSE I <br /> CLASS OF WOflN <br /> ❑NEW ❑AODITION ❑ALTERATION ❑REPAIR ❑DEMOLI710N ❑FENCE ❑SIGN CGARAGE <br /> VALU4LION OF WORK ' <br /> S <br /> 0[SCRiBE WORN <br /> PFOPoSEO USE OF BUILUING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> �ecntoescaianor+ovrnoveaTvisHowee�owonarrnc��Fouecoriesl PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�ocK_oF _ TYPE OF WORK WILL BE COMPLIED WITH WHGTHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRCSUME TO GIVE AUTHORITY TO VIOLATE OR CANCELTHE PRO� <br /> VISIONS OF ANY OTHER 3TATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANGE OF CONSTRUCTION. <br /> JO�ADpRESS SIGNAitI E OF CONTRACTOR OR AViMORR[0 AGENT DAiE <br /> 1117 Wetmore X (�.+ � L Nv 9/16/81 <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FU(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIi.ET) AIR COND.UNITS—HR EA <br /> BATHTUB REFRIGLRATION UNITS—HP.EA <br /> LAVATORV NJASH�151N) BOILtnS—H P.EA. <br /> SHOWER GAS PIRED AC.UNITS—TONNAGE EA. <br /> KITf,HEN SINK 8 OISP. FORCED Alfl SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALL HEAT[RS— �.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> _ CLOTHES V�ASHER EVAPORATIVE COOLERS <br /> WATER H,:ATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKIIIG FOUNTAIN PANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOV[ <br /> ROOF DRAINS—RAWlEA0ER5 METAL FIPEPL4CE 8 CHIMN[Y <br /> SINK ISERVICE—BAR ETC.� <br /> 1 Water Heater 4 50 <br /> SUB TOTAL SUB TOTAL f 10 5 0 <br /> PERMIT S PERMIT S 3 OO <br /> TOTAL FEE f TO7Al FEE f <br /> SIDE YAqU SETBACK STPEEi jETBACK REAR YAPD SETBACK PLAN CHECK NUM�ER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> 17YES ❑NO FEES VALUATION FEE <br /> TYPE OF CANST. OCCUPANCV GROUP NO.OF DWELLING UNITS <br /> BUILDING x <br /> SIZE OF BLDG. NO.UF STORI'c5 MAX.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECNANICAL 1j SO <br /> flYES f1N0 <br /> APPROVALS BY UATE OTHER <br /> 1. ENVIRONMENTALCHECKLIST <br /> 2. BUILDING PLANS PENALTV gEC 303(a) <br /> 3. FIREHVDHANT TOTAL 13 5O <br /> a. FIRE PROTECTION SVST[M PEqM1T VRIIDATION <br /> 5. GRADING <br /> WHEN PROPERLV VALIDATED pN THIS SPACE)THIS IS VOUR PERMIT <br /> fi. DRAINAGE ' ' � I 1 ___ ;� <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � <br /> 8. HEALTH DISTRICT � <br /> APPLICATION AC4 BY PLANS CHECNED BY APPR.FOR ISSUANCE BY � � 1• � � <br /> ADURESS PILE � <br />